Rapid response to the COVID-19 pandemic: Vietnam government’s experience and preliminary success

Background The COVID-19 pandemic has hit all corners of the world, challenging governments to act promptly in controlling the spread of the pandemic. Due to limited resources and inferior technological capacities, developing countries including Vietnam have faced many challenges in combating the pandemic. Since the first cases were detected on 23 January 2020, Vietnam has undergone a 3-month fierce battle to control the outbreak with stringent measures from the government to mitigate the adverse impacts. In this study, we aim to give insights into the Vietnamese government’s progress during the first three months of the outbreak. Additionally, we relatively compare Vietnam’s response with that of other Southeast Asia countries to deliver a clear and comprehensive view on disease control strategies. Methods The data on the number of COVID-19 confirmed and recovered cases in Vietnam was obtained from the Dashboard for COVID-19 statistics of the Ministry of Health (https://ncov.vncdc.gov.vn/). The review on Vietnam’s country-level responses was conducted by searching for relevant government documents issued on the online database ‘Vietnam Laws Repository’ (https://thuvienphapluat.vn/en/index.aspx), with the grey literature on Google and relevant official websites. A stringency index of government policies and the countries’ respective numbers of confirmed cases of nine Southeast Asian countries were adapted from the Oxford COVID-19 Government Response Tracker (https://www.bsg.ox.ac.uk/research/research-projects/coronavirus-government-response-tracker). All data was updated as of 24 April 2020. Results Preliminary positive results have been achieved given that the nation confirmed no new community-transmitted cases since 16 April and zero COVID-19 – related deaths throughout the 3-month pandemic period. To date, the pandemic has been successfully controlled thanks to the Vietnamese government’s prompt, proactive and decisive responses including mobilization of the health care systems, security forces, economic policies, along with a creative and effective communication campaign corresponding with crucial milestones of the epidemic’s progression. Conclusions Vietnam could be one of the role models in pandemic control for low-resource settings. As the pandemic is still ongoing in an unpredictable trajectory, disease control measures should continue to be put in place in the foreseeable short term.

The COVID-19 outbreak which originated from Wuhan city, China has widely expanded to 211 countries and had been declared as a public health emergency by the World Health Organization. As of 24 April, the total number of confirmed cases and deaths with COVID-19 globally was 2.626.321 and The review on Vietnam' s country-level responses was conducted by searching for relevant documents issued by the government on the online database 'Vietnam Laws Repository' (https://thuvienphapluat.vn/ en/index.aspx) [5]. Search terms were 'coronavirus' or 'COVID-19'. In addition, grey literature on Google and relevant official websites were searched. Inclusion criteria was documents focusing on national-level regulations in response to the COVID-19 pandemic that were published up until 24 April 2020.
For the cross-comparison of policies among Southeast Asian countries (including Brunei, Laos, Indonesia, Malaysia, Myanmar, Philippines, Singapore, Thailand and Vietnam), a stringency index of government policies and the countries' respective numbers of confirmed cases were adapted from the Oxford COVID-19 Government Response Tracker (https://www.bsg.ox.ac.uk/research/research-projects/coronavirus-government-response-tracker) [6]. The stringency index was calculated based on nine indicators of government' s responses, including school closing, workplace closing, cancellation of public events, restriction on gathering size, public transport closure, "shelter-in-place" and home confinement orders, restriction on domestic/internal movement, restriction on international travel and public information campaign. The stringency index ranged from 0 to 100 in which the higher the score, the stricter the government policies. The stringency index is not intended to measure the appropriateness or effectiveness of a country' s response but rather to provide a stringency indicator of the governments' policies. The data was updated as of 24 April 2020.

Data management and analysis
The daily cumulative number of confirmed cases and recovered cases of COVID-19 in Vietnam from 23 January to 24 April were entered into Excel (Microsoft Inc, Seattle, WA, USA). We downloaded the Excel file comprising of the stringency index and the number of confirmed cases for all Southeast Asian countries from the Oxford COVID-19 Government Response Tracker. In order to provide an overview of the COVID-19 pandemic in Vietnam, changes in the cumulative number of confirmed cases, number of recovered cases and stringency index during the 3-month period are illustrated in Figure 1. Additionally, fluctuations of stringency indexes of each Southeast Asian country by increasing confirmed cases were presented to compare policy responses among these nations. All figures were drawn through Excel. VIEWPOINTS RESEARCH THEME 1: COVID-19 PANDEMIC

Overview of the COVID-19 pandemic in Vietnam
The first 3-month progress of the COVID-19 outbreak in Vietnam can be temporarily divided into three stages (Figure 1). Stage I was from 23 January (the first case detected) to 25 February, during which the number of confirmed cases with COVID-19 increased slowly to 16 on 25 February. Most of the cases in this stage were people with recorded travels from China. In Stage II, the new cases were initially those identified with traveling histories to South Korea and European countries, but later served as the sources of community transmission, ramping up the total number of confirmed cases to 268 on 15 April. In Stage III, only 2 new cases were reported, 225 out of 270 cases (83.3%) had recovered as of 24 April. There were no deaths recorded as of 24 April 2020.
Vietnam has gained preliminary promising achievements in controlling the COVID-19 pandemic given that the nation has maintained a clean record of new COVID-19 cases for eight days since 16 April and has had zero deaths for three months straight. These are attributable to the rapid, strong and decisive efforts of the government in the wake of the outbreak. This is a commendable accomplishment, given that Vietnam shares a long and bustling border with China -the initial hotspot of the outbreak. However, Vietnam may confront further challenges in the upcoming months due to the vast flows of Vietnamese citizens returning home from abroad and the number of patients who are tested positive again after being discharged from hospital. Vietnamese government's response to the COVID-19 pandemic In hindsight, the epidemic is still relatively under control in Vietnam thanks to the continued prompt and proactive precautions taken by the government. The stringency index, which simply reflects the strictness in counter-measures, has changed over time to correspond with crucial progression milestones during the three stages of the pandemic. In stage I which marks the initial period of the outbreak, the government took a step-by-step operationalization of intensive regulations to combat the outbreak and this approach continued to be reinforced during the first haft of stage II. Rapid community transmissions of the virus in the second haft of stage II prompted the government to put in place the strictest counter-measures, resulting in the 15-day national social distancing with the highest level of stringency (scored nearly 100 in stringency index). In the ongoing stage III as of 24 April, the epidemic has been relatively controlled, enabling social distancing measure relieves ( Table 1).
VIEWPOINTS RESEARCH THEME 1:  [20]. • On 7 March, the Health Ministry required all arrivals from March 1 to self-isolate at home if they had not been quarantined in a centralized zone in the past 14 d [21]. • On 21 March, Vietnam announced a mandatory quarantine for all passengers from all countries and regions upon entry to Vietnam. For passengers holding diplomatic or official passports, if he/she was in normal health condition, had no signs of illness and was guaranteed by the embassies or representative offices who ensured the quarantine conditions, he/she may undergo quarantine at the representative office or place of residence for 14 d from the arrival date [22]. • On 1 April, Vietnam government enacted the Directive No. 16/CT-TTg on implementing strict social distancing rules nationwide for 15 d to prevent the spread of COVID-19. The measures included self-isolation and people were only allowed to leave their homes for food and medicines. Gathering of more than two people was also banned, together with a must two-meter distance rule between people in public areas. Factories, businesses and service establishments producing and providing essential goods were allowed to remain open but must follow strict health guidelines [23]. • On 13 April, authorities ordered people working at a unit of Samsung Display in Bac Ninh province to be quarantined and the Samsung factory was isolated after a worker was tested positive for COVID-19 [24].
• On 24 March, the People's Committee of HCM city issued a decision to close all non-essential services like beauty clinics, karaoke, massage parlors, bars, entertainment venues in 24 districts, effective immediately [38]. • On 27 March, the government asked religious organizations to cancel religious festivals, entertainment activities and conferences that attract large crowds as a precaution; to suspend all non-essential business; ban on gathering of more than 10 people in outside areas [39]. • Until 1 April, in line with the national quarantine, domestic flights were significantly reduced to only one round trip a day between Hanoi and HCM city; Hanoi and Da Nang; HCM City and Da Nang. Passenger trains between Hanoi and HCM City were also limited to two trips per day. Public transport services were suspended while transport from region to region were minimized except for essential services [42]. • Also on the same day, the Ministry of Transport issued the Official Dispatch No. 3064/BGTVT-VT to prohibit the transportation activities of domestic flights and inter-provincial transport routes, as well as the transportation activities of contract vehicles, tourist cars, taxis, buses in all provinces and cities [43,44]. Stage III: • On 16 April, the Minister of Transport issued the Official Dispatch No. 3655/BGTVT-VT: Adjusting the transportation plan accordingly in the three area groups at risk of COVID-19 (I high-risk, II at-risk and III low-risk). Specifically, with provinces in Group I and Group II, no inter-provincial passenger transportation would be carried out until 22 April. Vietnamese air passenger carriers were expected to resume regular domestic flights but stated that routes and flight frequency might be subject to change [45]. • On 23 April, the social distancing campaign was stopped in 28 cities and provinces and the Prime Minister implemented more relaxed restrictions than before: Both Hanoi and HCM City (now classified only as "at risk"), as well as 10 other localities would still have to stop socializing activities, which include all events of over 20 people and gatherings of 10 people or more outside workplaces, schools and hospitals. However, shops, street businesses and non-essential services were allowed to reopen [30]. • On 23 April, the frequency of domestic flights on the Hanoi -HCM city route was increased, as well as reopening of other domestic routes with limitation [46,47]. • From 23 April, several schools were reopened in some provinces [48]. Improving capacity of health care systems • On 16 January, MOH issued Decision No. 125/QD-BYT on the first guideline for diagnosis and treatment of coronavirus infection [49].  [63]. • On 18 April, MOH launched an online-based medical examination and treatment system to support hospitals in remote areas regarding counseling, consultation, imaging diagnosis, pathology.. [64]. • In addition, MOH issued numerous guidelines for quarantine at home, at quarantine zones, at residential areas for the prevention and control of the COVID-19 spread [65][66][67]; Guidance on prevention and management of COVID-19 infection for pregnant women and infants, for the elderly and people with chronic diseases [68,69]; Recommendations on prevention and control of the COVID-19 at apartment buildings, at workplaces, at shopping malls, restaurants… [70][71][72].

Border closure and entry ban
In the first stage, when the outbreak was only localized in China, on 23 January, the Civil Aviation Authority of Vietnam announced instruction No.358/CT-CHK regarding a temporary ban of all citizens from Wuhan city, the initial epicenter [7]. The ban was later extended to all flights to and from mainland China [9]. Having a bustling border and a high volume of trade with China, Vietnam was expected to be heavily affected due to the disease' s fast-spreading nature. Recognizing the potential high risks of the disease and limited existing resources, the government focused mainly on preventive measures. Stringent inspections were strictly implemented at airports and land border checkpoints in the form of tem-  • People in medical isolation areas including medical centers, concentrated quarantine facilities were given around 80 thousand VND/d in allowance, and all direct medical fees were covered for Vietnamese citizens [88]. Other responses • On 24 March, Vietnam stopped exporting rice to ensure national food security [89].
• In March, Hue hospital invented robots to assist serving patients in quarantine areas [90].
• Additionally, penalties of violations of COVID-19 prevention and control policies were imposed including not wearing masks in public places, concealing health status, opening non-essential businesses, gathering of more than 10 people, spreading 'fake news' and others [91]. • In March and April, a series of meetings among national senior officers were held to discuss health information and updates, as well as to share experiences on COVID-19 prevention, screening, and treatment across ASEAN countries [92]. • Vietnam transported 450 000 protective suits and 200 000 face masks to the United States, provided medical supplies valued US$ 100 000 to Japan. In addition, 550 000 face masks were donated to European countries and 730 000 to neighboring countries [93].  [20]. All cases with suspicious symptoms were taken in for further diagnosis.

MOH -Ministry of Health
On 12 February, Vietnam and China governments agreed to ease the cross-border restriction to normalize trade in Northern provinces: Quang Ninh, Lai Chau, Lao Cai, Lang Son, and Ha Giang [9]. These trade policy changes had to be carefully considered by the government to strive for the ideal balance between economic and public health security. Trading activities put firm pressure on health workers in the prevention and treatment of COVID-19 in the subsequent disease stages in Vietnam.
As the pandemic widely spread in Deagu, South Korea, the second hotspot after China, the entry ban was further applied to travelers coming from severely affected regions in South Korea, in addition to a mandatory 14-day isolation for all other incoming Korean travelers effective as of 25 February [10]. On 05 March, the Civil Aviation Authority decided to temporarily suspend all flights to South Korea [12]. In this period, a series of emergency and successive restrictions were carried out based on the complex evolution of the disease worldwide, particularly the outbreak in European countries [13]. All international flights were temporarily suspended beginning 19 March and there were considerable reductions in the number of domestic flights [14,43]. Besides, all visa issuance were suspended, except for those on official or diplomatic missions. The border closure timeline in Vietnam was quite aligned with that of other countries in the Southeast Asian region, for example Thailand (22 March In the first stage, the policy largely focused on preventing the penetration from the epicenter Wuhan and China in general. In the second stage being aware of the pandemic danger, the government strictly implemented quarantine measures. On 1 March, citizens who entered the country from epidemic countries (China, Korea, Italy, Iran) have to fill in a health declaration form and follow medical quarantine [20,21]. The newly confirmed cases were mainly foreigners and Vietnamese citizens who returned from European countries or had direct contact with positive patients. Therefore, isolation and quarantine precautions were taken to curb the rise of disease transmission. Several localities at potential high risks of community transmission in Son Loi-Vinh Phuc, Truc Bach-Hanoi and some communities in Hai Phong, Ha Loi-Me Linh were placed in lockdown [25][26][27][28]. Bach Mai, a leading hospital at central level with more than 5000 health care workers was locked down in late March after one staff was confirmed positive for COVID- 19 [29].
A 15-day nationwide social distancing period began on 1 April led by the principle that "every province and city going into self-isolation" under the Directive No.16/CT-TTg. Accordingly, everyone -with the exception of essential workers -was required to "shelter in place" and not go out unless for bare necessities such as buying food or drugs [23]. Although there were several considerable inconveniences in implementation of social distancing, most Vietnamese citizens have complied with the government' s regulation. Whereas in the Philippines, the use of weapons had to be deployed to force habitants to follow the government' s measures. On 4 April, an unfortunate incident was recorded in the Philippines as one protester who refused to follow the restriction orders was shot by the police [3]. Back in Vietnam, the number of confirmed cases during this period slightly increased, with over 250 cases in early April [2].
On 16 April, following 15 days of national social distancing, the government divided all localities of the country into 'high-risk', 'at-risk', and 'low-risk' zones to impose precautions accordingly. Hanoi, Ho Chi Minh city -the two biggest metropolitan cities and 10 other provinces had been implementing strict social distancing measures at least until 22. Starting 23 April, most cities and provinces began loosening social distancing requirements to allow more daily routines while still having protective measures in place. Under the guideline, Hanoi and Ho Chi Minh city were expected to intermittently operate daily services [30]. Meanwhile in Thailand, the Prime Minister announced plans to gradually relax restrictions by the end of April owing to the reduction of new confirmed cases. However, in other countries such as Singapore, Philippines and Indonesia, the strict measures continued to be applied until there were clear signs of case decline [3]. The 15-day period had been considered a significant milestone in the prevention of disease transmission in Vietnam. Although there might have been some undiagnosed cases, it cannot be denied that Vietnam' s approach has been well-organized and effectively reduced the speed of transmission.

COVID-19 PANDEMIC
Shutdown non-essential business, school or workplace closure, suspended transportation In the first stage of the pandemic on 2 February, the Ministry of Education and Training announced the closure of all public and private educational institutions across the country [35]. During this period, even though the outbreak was mainly confined to China, the prompt decision of school closing and banning public crowds had shown the advantages of limiting community transmission, which is in line with many other countries' outcomes [94]. However, the unexpected break has caused students and teachers difficulties in the learning and teaching process. In the meantime, the Ministry of Education and Training was quick to launch innovative distant-learning programs on national television to support students in preparing for their entrance exams [95,96].
During the second stage, restriction measures regarding public gathering were tightened. A series of government documents issued in mid-March had highlighted the importance of social distancing measures and Vietnam' s coping strategies reached a climax of highest stringency levels when the 15-day national social distancing measures took effect on 1 April [23]. The prime objective of the measures was to urgently slow the number of infections or to "flatten the curve" of infection. One of the main priorities was to reduce and cease all non-essential business services, including restaurants, gyms, movie theaters, and religious, sports and cultural gatherings [38]. Many companies and agencies had made the rational decision to allow their employees to work from home, which not only reduced the risk of disease transmission, but also maintained the income for employed individuals. In addition, buses and railroad services were suspended both within a province and between provinces [40].
Upon entering a new phase with fewer new cases as of 23 April, the Ministry of Transport allowed the reoperation of domestic flights as well as reopening of essential transport activities in the whole country [44,97]. In addition, since April 23 most schools were ready to welcome students to return after the long lockdown which had been prolonged since the Lunar New Year [48]. To make schools a safe environment to learn after an extended period of closure required much considerations from localities, which had different operating policies depending on each own economic and social context. At the domestic level, these efforts on limiting exposure dramatically showed positive impacts during a persistent process against the pandemic.

Improving capacities of health care system
The effective results of the epidemic control to date have been largely contributed by the MOH and their drastic efforts in delivering rapid and decisive responses on all fronts from research, prevention, screening to diagnosis and treatment of COVID-19. In the early days of the outbreak in China, the guideline for diagnosis and treatment of coronavirus infection for Vietnam was already issued by MOH on 16 January and has been continuously updated throughout the epidemic [49][50][51]. When the COVID-19 outbreak hit Vietnam on 30 Jan, the National Steering Committee and 45 Rapid Response Teams for outbreak prevention and control were established [53,54]. In the wake of the outbreak, MOH' s hotline numbers 19009095 and 19003228 were set up on 1 Feb to address enquiries and concerns, in addition to the local hotlines for counseling provided by each province/city that were launched on 22 March [55,56].
Furthermore, Vietnam has gained substantial achievements in scientific research and development relating to COVID-19. On 7 February, Vietnam became one of the few countries that successfully cultured and isolated the novel coronavirus strain in the laboratory, which would be the premise for further research and development of vaccines, as well as effective prevention interventions against COVID-19 [57]. Moreover, Vietnam officially manufactured the virus detection test kits (RT-PCR and real-time RT-PCR) on 05 March, and was able to manufacture 10 000 test kits per day [60]. To date, the test kit has been approved by WHO and exported to many countries such as: Sweden, Ukraine, Finland, Germany, Italy, Cambodia [98]. The test kit plays a decisive role in the early diagnosis and timely treatment of COVID-19, alongside contact tracing and mass screening in the communities.
Furthermore, a series of guidelines and recommendations on the prevention and control of COVID-19 were released; for example, the guidelines on self-isolation and concentrated quarantine at medical facilities and hotels [65,66,99,100]; guidelines on the prevention and management of COVID-19 for specific vulnerable groups: infants and pregnant women; the elderly and people with chronic diseases [68,69]; recommendations on the prevention of COVID-19 infections in specific places such as apartment buildings, workplaces, public transports, shopping malls, restaurants and others [70][71][72].
Moreover, the online-based system for medical examination and treatment of COVID-19 infections were launched initially by the Agency of Health Examination and Treatment on 5 February. It was then, officially launched on 18 April by MOH to support hospitals in remote areas regarding medical counselling, consultation, imaging diagnosis, pathology among others [59,64]. The initiative has helped to eliminate geographical and social barriers, and enhanced diagnosis and treatment capacity for COVID-19 in all health facilities.
Furthermore, the government facilitated a robust health care system through issuing a number of Decisions requiring rapid production of medical equipment and suspending exports of anti-COVID-19 drugs to ensure health system capacities during the complicated development of the pandemic [62,63].

Information campaigns
Importantly, the government has executed a series of information and communication campaigns to keep the public updated on the most transparent and latest development of the epidemic. On 30 January, communication campaigns via radio, television, newspaper for the prevention and control of the pandemic were launched in all provinces/cities via cooperation between the Department of Health and Department of Information and Communications [73]. On 2 February, the Ministry of Information and Communications issued Directive No.5/CT-BTTTT strengthening the information campaigns for the prevention and control of the new coronavirus outbreak [74]. Therein, diverse communication channels were set up to reach the entire population. The campaigns consisted of sending text messages to mobile users; producing music videos and short films to widely disseminate anti-COVID information via mass media channels and social networks such as Facebook, Zalo, Youtube, Lotus and trending the hashtag #ICT_anti_nCoV for raising awareness of the epidemic. Through these different streams of media, promotion of awareness and behavioral changes such as wearing masks in public areas and washing hands, was especially timely during the outbreak. Vietnam' s creative communication approach has gone viral and received much attention by viewers, including those from other countries. For example, the parody song 'Ghen Cô Vy', which highlighted the importance of handwashing and personal hygiene to prevent coronavirus infection has gone viral all around the world and was broadcasted on American and French television channels [101].
In line with these activities, websites and applications were sequentially launched such as 'Vietnam Health', 'NCOVI' 'Vietnam Health Declaration', 'Hanoi Smart City' and 'Bluezone' with the aim of widely disseminating the most updated findings, information, correct misinformation and supporting health care workers to promptly detect suspected cases [64,[75][76][77]. Furthermore, Q&A infographics and leaflets/posters on nCoV infection prevention, which largely targeted drivers and passengers taking public transports, were created and distributed widely [79]. Furthermore, guidance on the correct use of face masks in public was published nationally by MOH on 24 March [78].

Economic support
In response to the adverse socioeconomic impacts on businesses, society and individuals created by the epidemic, preferential economic policies and relief measures have been implemented [11]. On 7 February, the Ministry of Finance announced a list of medical supplies exempted from tax until the epidemic ended including face masks, hand sanitizers, protective suits [80]. Subsequently, tax payment in some cases had been exempted or deferred and electricity tariffs have been reduced for three months for individuals and enterprises affected by the epidemic [81,83,85].
The COVID-19 pandemic obviously has caused a stir for ASEAN economies [102]. On par with other countries, Vietnam launched several packages of economic stimulus to revive the economy. The Prime Minister issued Directive No.11/CP on urgent objectives and solutions for assisting businesses facing difficulties and assurance of social welfare amid COVID-19 pandemic on 4 March, in which a credit package of 250 VND billion was debuted [82]. On 10 April, the government announced plans for an economic stimulus package valued 60.9 trillion VND to assist people, numerous enterprises, household businesses and cooperatives facing difficulties due to the pandemic [86], which was officially implemented by the Prime Minister' s Decision on 24 April [87].
Isolated people in health care centers and concentrated quarantine facilities are entitled to around 80 000 VND in allowance per person per day (US $3.4) and all direct medical costs are covered for Vietnamese citizens [88].

Other responses
Since 24 March, Vietnam has stopped exporting rice to ensure national food security due to the outbreak [89]. Applying the latest digital technology, the Hue Central Hospital created robots that assisted health workers in serving isolated patients in quarantine areas [90]. To reinforce social distancing measures, penalties were imposed for noncompliance of measures including not wearing masks in public places, VIEWPOINTS RESEARCH THEME 1: COVID-19 PANDEMIC concealment or dishonesty in self-reporting of health, opening of non-essential businesses, gathering of more than 10 people and spreading 'fake news' about the COVID-19 outbreak [91].
Alongside the individual country attempts, ASEAN countries were also united in the fight against the COVID-19 pandemic. Meetings among national senior officers were held in March and April to discuss and share country experiences on COVID-19 prevention, screening and treatment [3,92]. Also, enhancement and strengthening of international cooperation on responses to COVID-19 related health threats is one of the crucial points that were voiced by ASEAN nations [3]. The meetings also convened external experts from the United States, South Korea, Japan and China to share state-of-art technical knowledge and to provide financial support to countries for the current and subsequent waves of the COVID-19 outbreak. [3,92].
Vietnam also made strong efforts to coordinate with international communities in the fight against COVID-19 with the spirit of solidarity -"there is no country alone in the fight against the pandemic".
Since the beginning of April, Vietnam has been transferring medical supply aids to regional neighbors including Cambodia, Indonesia, Laos as well as other developed nations such as the United States, Japan and European countries [93].
Comparison of governments' responses to the COVID-19 pandemic among Southeast Asian countries  [1]. To curb the number of confirmed cases, Vietnam has issued a vast array of action policies, with the highest stringency level among Southeast Asian countries ( Figure S1 in the Online Supplementary Document). Particularly, Vietnam was evaluated as the top country ready to exit lockdown, which was based on the 4 out of 6 WHO recommendations in 'lockdown rollback' measures [103]. Thus, the positive outcomes seen in Vietnam could be attributable to the strict precautions taken by the government in the battle against COVID-19. Nevertheless, national level responses to the COVID-19 pandemic vary greatly among countries, depending on each' s socio-economic background, health care capacity and political system.

CONCLUSION
Overall, Vietnam' s COVID-19 strategies could be considered an effective model for limited resource settings. It is fruition of the prompt, proactive and decisive steps taken by the government on all fronts including health care system, security force, economic policies, along with creative and effective communication campaigns. Therefore, this preliminary success from Vietnam may serve as a valuable case study for other countries in outbreak response. However, our research is merely a snapshot focusing on the government' s responses during the first three months of the COVID outbreak. The pandemic is far from over and the country is expected to maintain precaution methods in the upcoming months.